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Prof. Hiroyuki Oizumi:肺段切除术中的段间平面识别方法

Published at: 2015年第1卷第S1期

孔雅婷 , 周丽桃
关键词:

编者按:由海峡两岸医药卫生交流协会胸外科分会和AME出版社共同举办的第八届中山胸部微创论坛于5月13日在上海复旦大学附属中山医院举行。在历届论坛上,各会场代表即时与术者就当今微创胸外科热点问题进行沟通和交流,为胸外科微创手术的发展起到了积极的推动作用。在本次论坛中,我们有幸邀请到了Oizumi教授,探讨了肺段切除术中的段间平面识别方法(图1)。

图1. Oizumi教授正在接受采访

Oizumi教授指出,现代有许多种识别肺部分区的方法,这些方法各有优点,例如肺部造影技术,它可以清晰地展示出不同区域的肺段,并且造影液很快可以从体内排出。不同医疗机构拥有的医疗设备先进程度不同,但都可以采用不同的方式来解决段间平面的分区问题。Oizumi教授所在医疗机构采用的医疗设备非常精密,可以帮助外科医师观测到支气管的状态,但由于胸腔镜辅助下的外科手术(VATS)在世界范围内还不算非常普及,在初试这种方法时有些医师可能会需要一段时间来适应。

谈到如何培养年轻的外科医师,Oizumi教授指出,他们通常会让年轻医师先尝试操作一些简单的手术步骤,比如下叶背段(S6)的肺段区域识别。选择这类步骤是因为在现有的技术和设备条件下,即使在这些手术步骤中出现出血等意外情况,也能比较容易控制和处理。除此之外,因为人类的肺叶和猪的肺叶构成有很大的相似性,他们还会鼓励年轻医师在猪的肺叶上练习手术操作流程,从而帮助年轻医师们在将来能更顺利地在人体上进行手术操作。

采访问题:

  1. Identifying the intersegmental plane is very important for successful lung segmentectomy. How many methods are commonly used to identify the intersegmental plane in Japan? And what they are?

  2. In your experience, which method you recommend the most?

  3. What are the difficult parts of this method?

  4. Do you have any suggestions for young surgeons who are going to learn this method?

受访专家

Hiroyuki Oizumi, MD

Prof. Hiroyuki Oizumi graduated from Yamagata University Faculty of Medicine and worked as in the Chief General Thoracic Surgery Yamagata University Hospital from 1988 to 2014. Currently he is the associate professor of the Department of Cardiovascular, Thoracic and Pediatric of Surgery (The Second Department of Surgery) in Yamagata University Faculty of Medicine, the professor of the Division of General Thoracic Surgery in Yamagata University Hospital and the vice-chairman of the Endoscopic Surgery Center at Yamagata University Hospital. He is also a member of the Japanese Society of Thoracic Surgery. Prof. Hiroyuki Oizumi is skilled with VATS and is one of the pioneer surgeons in the world performing thoracoscopic anatomical segmentectomies to treat disease such as lung cancer and mediastinal tumors. He has also published several papers describing the surgical procedure and their results in the most influential medical journals of thoracic surgery. 

采访编辑:孔雅婷,周丽桃,AME Publishing Company

视频剪辑:麦雪芳,AME Publishing Company

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